REVIEW PAPER
HEALTH-RELATED QUALITY OF LIFE IN CHILDREN HOSPITALISED DUE TO FOUR ENT ILLNESSES: A SELECTIVE REVIEW
Artur Niedzielski 1,4, A,C,E-F
 
 
 
More details
Hide details
1
Department of Pediatric Otolaryngology, Centre of Postgraduate Medical Education, Poland
 
2
Department of Pediatric ENT, The Hospital’s Pediatric in Dziekanow Lesny, Poland
 
3
Department of Pediatric Otolaryngology, Medical University of Lublin, Poland
 
4
Department of Pediatric ENT, Children's Hospital in Dziekanow Lesny, Poland
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Submission date: 2022-03-13
 
 
Final revision date: 2022-12-14
 
 
Acceptance date: 2022-12-16
 
 
Online publication date: 2022-12-29
 
 
Publication date: 2022-12-29
 
 
Corresponding author
Lechosław Paweł Chmielik   

Department of Pediatric Otolaryngology, Centre of Postgraduate Medical Education, Konopnickiej 65, 05-096, Dziekanow Lesny, Poland
 
 
J Hear Sci 2022;12(4):9-15
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The concept of health-related quality of life (HRQOL) is nowadays increasingly and more broadly used for evaluating the effectiveness of medical treatment, superseding the earlier ‘quality of life’. The reason is that subjective parameters have now been added – such as health, freedom, and happiness – to previous objective parameters such as social development and material wellbeing. The HRQOL concept applies equally well to otolaryngology and this selective review of the literature focuses on HRQOL outcomes in four childhood ENT diseases. Study aim is to retrospectively evaluate the literature on HRQOL in children hospitalised for chronic sinusitis, nasal septum deviation, adenoid hypertrophy, or hearing disease.

Material and methods:
Published studies and case reports were searched in Medline/PubMed, Web of Science, Scopus, and ORCID on quality of life based on paediatric patient questionnaires, whether completed by the subjects themselves or their parents. As well as confining results to the four selected illnesses, the following key words were used: health quality of life, otolaryngology/ENT, pediatrics/paediatrics. The review is selective, not comprehensive, with total results limited to 25 studies. Studies before 1999 were omitted because before then ‘quality of life’ was imprecisely defined.

Results:
HRQOL scores and well-being were found to significantly deteriorate in pediatric patients suffering from chronic sinusitis, nasal septum deviation, adenoid hypertrophy, or hearing disease. The main problems found were infection, inflammation, disruption to family life and child–parent interaction, fitness-related issues, reduced ENT patencies, and apnea.

Conclusions:
HRQOL significantly deteriorates in children suffering from the defined ENT diseases. Further studies are needed to cover all ENT diseases.

 
REFERENCES (56)
1.
Leplege H, Hunt S. The problem of quality of life in medicine. JAMA, 1997; 278: 47–50.
 
2.
Ryglewicz D, Kuran W. [Quality of life and therapeutic expectations of patients with epilepsy]. Epileptologia, 2003; 11: 171–8 [in Polish].
 
3.
de Walden-Gałuszko K, Majkowicz M, editors.[Quality of life in neoplastic disease]. Gdańsk: Wydawnictwo Uniwersytetu Gdańskiego; 1994, p. 13–38 [in Polish].
 
4.
Wołowicka L. [Quality of life in medical sciences]. Poznań: Wydawnictwo Naukowe Uniwersytetu Medycznego w Poznaniu; 2001, p. 36–53 [in Polish].
 
5.
Jaeschke R, Guyatt G, et al. [Evidence-based medicine (EBM) or medical practice based on reliable and up-to-date publications (POWAP). Defining and measuring health-related quality of life related to health]. Med Prakt, 1999; 4: 155–62 [in Polish].
 
6.
Skrzypek M. [About research on quality of life and ways to understand the norms]. Alma Mater, 2000; 1(34): 136–9 [in Polish].
 
7.
Mazur J, Mierzejewska E. [Health-related quality of life (HRQL) in children and adolescents: concepts, study methods, and selected applications]. Med Wieku Rozwoj, 2003; 7: 35–48 [in Polish].
 
8.
Guyatt G, Fenny DH, Patric D. Measuring health-related quality of life. Ann Intern Med, 1993; 118: 622–9.
 
9.
Eiser C, Mores R. Quality of life measures in chronic diseases of childhood. Health Technol Assess, 2001; 5(4): 1–157.
 
10.
Vitale MG, Roye D, et al. An exploration of life outcomes measures in scoliosis and cerebral palsy. Pediatrics, 1999; 104 (Suppl 716).
 
11.
Herdman M, Rajmil L, Ravens-Sieberer U, Bullinger M, Power M, Alonso J. Export consensus in the development of a European health-related quality of life measure for children and adolescents: a Delphi study. Acta Paediatr, 2002; 91: 1385–90.
 
12.
Kao SS, Peters MDJ, Dharmawardana N, Stew B, Ooi EH. Scoping review of pediatric tonsillectomy quality of life assessment instruments. Laryngoscope, 2017; 127(10): 2399–406.
 
13.
Kosse NJ, Windisch W, Koryllos A, Lopez-Pastorini A, Piras D, Schroiff H-W, et al. Development of the Diaphragmatic Paralysis Questionnaire: a simple tool for patient relevant outcome. Interact Cardiovasc Thorac Surg, 2021; 32(2): 244–9.
 
14.
Spronk I, Legemate C, Oen I, van Loey N, Polinder S, van Baar M. Health related quality of life in adults after burn injuries: a systematic review. PLoS One, 2018; 13(5): e0197507.
 
15.
Balla A, Leone G, Ribichini E, Sacchi MC, Genco A, Pronio A, et al. Gastroesophageal reflux disease – Health-Related Quality of Life Questionnaire: prospective development and validation in Italian. Eur J Gastroenterol Hepatol, 2021; 33(3): 339–45.
 
16.
Heaney A, Stepanous J, Rouse M, McKenna SP. A review of the psychometric properties and use of the Rheumatoid Arthritis Quality of Life Questionnaire (RAQoL) in clinical research. Curr Rheumatol Rev, 2017; 13(3): 197–205.
 
17.
Tokuno J, Chen-Yoshikawa TF, Oga T, Oto T, Okawa T, Okada Y, et al. Analysis of optimal health-related quality of life measures in patients waitlisted for lung transplantation. Can Respir J, 2020; 2020: 4912920.
 
18.
Kopczyńska-Sikorska J. [The problems of child quality of life]. Pediatr Pol, 1987; 5, 342–5 [in Polish].
 
19.
Stepan L, Huang L, Huynh J, Xie P, Woods CM, Ooi EH. Health related quality of life T-14 outcomes for pediatric Bizact™ tonsillectomy. Medicina (Kaunas), 2021; 57(5): 480.
 
20.
Fehrm J, Nerfeldt P, Browaldh N, Friberg D. Effectiveness of adenotonsillectomy vs watchful waiting in young children with mild to moderate obstructive sleep apnea: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg, 2020; 146(7): 647–54. Erratum in: JAMA Otolaryngol Head Neck Surg, 2020; 146(12): 1181.
 
21.
Lee CH, Kang KT, Weng WC, Lee PL, Hsu WC. Quality of life after adenotonsillectomy for children with sleep-disordered breathing: a linear mixed model analysis. Int J Pediatr Otorhinolaryngol, 2014; 78(8): 1374–80.
 
22.
Lushington K, Kennedy D, Martin J, Kohler M. Quality-of-life but not behavior improves 48-months post-adenotonsillectomy in children with SDB. Sleep Med, 2021; 81: 418–29.
 
23.
Türkoğlu S, Tahsin Somuk B, Sapmaz E, Bilgiç A. Effect of adenotonsillectomy on sleep problems, attention deficit hyperactivity disorder symptoms, and quality of life of children with adenotonsillar hypertrophy and sleep-disordered breathing. Int J Psychiatry Med, 2019; 54(3): 231–41.
 
24.
Hassmann-Poznańska E. [Commentary on the article 'Evaluation of the effectiveness of tonsillectomy or adenotonsillectomy in the treatment of recurrent pharyngitis in children']. Med Prakt Pediatr, 2002; 6(24), 39–42 [in Polish].
 
25.
Stewart MG, Friedman EM, Sulek M, Hulka GF, Kuppersmith RB, Harrill WC, et al. Quality of life and health status in pediatric tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg, 2000; 126: 45–8.
 
26.
Michell RB, Kelly J, Call E, Yao N. Quality of life after adenotonsillectomy for obstructive sleep apnea in children. Arch Otolaryngol Head Neck Surg, 2004; 130: 190–4.
 
27.
Ericsson E, Lundeborg I, Hultcrantz E. Child behavior and quality of life before and after tonsillotomy versus tonsillectomy. Int J Pediatr Otolaryngol, 2009; 79(9): 1254–62.
 
28.
Franco RA, Rosenfeld RM, Rao M. Quality of life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg, 2000; 123: 9–16.
 
29.
Przybyłowski T, Chazan R, Balcerzak J, Niemczyk K. [Non-surgical treatment of obstructive sleep apnea]. Otolaryngologia, 2005; 4(1): 11–8 [in Polish].
 
30.
Ahmed S, Sami AS. Rhinosinusitis and its impact on quality of life in children. Br J Hosp Med (Lond), 2022; 83(3): 1–11.
 
31.
Makary CA, Tumlin P, Asad F, Wasef K, Ramadan HH. Quality of life measurement for adolescent patients with sinonasal symptoms. Laryngoscope, 2022, https: //doi.org/10.1002/lary.30232.
 
32.
Lai WY, Kay DJ, Wei CC, Huang FW, Liang KL, Yen HR. Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children. Pediatr Neonatol, 2022; 63(4): 410–17.
 
33.
Calvo-Henriquez C, Lechien JR, Méndez-Benegassi I, Lowy Benoliel A, Faraldo-Garcia A, Martinez-Capoccioni G, et al. Pediatric turbinate radiofrequency ablation improves quality of life and rhinomanometric values. A prospective study. Int J Pediatr Otorhinolaryngol, 2022; 154: 111050.
 
34.
Calvo-Henríquez C, Valencia-Blanco B, Boronat-Catalá B, Maza-Solano J, Diaz-Andadon A, Kahn S, et al. Cross-cultural adaptation of the sinus and nasal quality of life survey (SN-5) to Spanish. Int J Pediatr Otorhinolaryngol, 2020; 139: 110425.
 
35.
Sethi G, Chakravarti A. Quality of life after endoscopic sinus surgery in refractory pediatric chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol, 2016; 90: 160–4.
 
36.
Rudnick EF, Mitchell RB. Improvements in quality of life in children after surgical therapy for sinonasal disease. Otolaryngol Head Neck Surg, 2006; 134: 737–40.
 
37.
Pauli C, Fintelmann R, Klemens C, Hilgert E, Jund F, Rasp G, et al. [Polyposis nasi – improvement in quality of life by the influence of leukotriene receptor antagonists]. Laryngorhinootologie, 2007; 86(4): 282–6 [in German].
 
38.
Kay DJ, Rosenfeld RM. Quality of life for children with persistent sinonasal symptoms. Otolaryngol Head Neck Surg, 2003; 128: 17–26.
 
39.
Chen H, Katz PP, Shiboski S, Blanc PD. Evaluating change in health-related quality of life in adult rhinitis: responsiveness of the Rhinosinusitis Disability Index. Health Qual Life Outcomes, 2005; 8(3): 68.
 
40.
Cunningham MJ, Chiu EJ, Landgraf JM, Gliklich RE. The health impact of chronic recurrent rhinosinusitis in children. Arch Otolaryngol Head Neck Surg, 2000; 126: 1363–8.
 
41.
Rudnick EF, Mitchell RB. Improvements in quality of life in children after surgical therapy for sinonasal disease. Otolaryngol Head Neck Surg, 2006; 134(5): 737–40.
 
42.
Fokkens WJ, Lund VJ, Hopkins S, Hellings PW, Kern R, Reitsma S, et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology, 2020; 58 (Suppl S29): 1–464.
 
43.
Valsamidis K, Titelis K, Karkos P, Markou K, Constantinidis J, Triaridis S. Predictive factors of patients’ general quality of life after nasal septoplasty. Eur Arch Otorhinolaryngol, 2019; 276(2): 429–38.
 
44.
Gary CC. Pediatric nasal surgery: timing and technique. Curr Opin Otolaryngol Head Neck Surg, 2017; 25(4): 286–90.
 
45.
Saniasiaya J, Abdullah B. Quality of life in children following nasal septal surgery: a review of its outcome. Pediatr Investig, 2019; 3(3): 180–4.
 
46.
Manteghi A, Din H, Bundogji N, Leuin SC. Pediatric septoplasty and functional septorhinoplasty: a quality of life outcome study. Int J Pediatr Otorhinolaryngol, 2018; 111: 16–20.
 
47.
Garetz SL, Mitchell RB, Parker PD, Moore RH, Rosen CL, Giordani B, et al. Quality of life and obstructive sleep apnea symptoms after pediatric adenotonsillectomy. Pediatrics, 2015; 135(2): e477–86.
 
48.
Brzezińska W. [About facial injuries in children]. XXXI Zjazd PTOL, Poznań 1980. Otolaryngol Pol, 1983; 37 (Supl): 271 [in Polish].
 
49.
Nell MJ, Grote JJ. Morphological changes in the middle ear due to endotoxin and Eustachian tube obstruction. Advances in Pediatric ORL. Proceeding of 7th International Congress on Paediatric Otorhinolaryngology, Helsinki, 8–10 July 1998. Ruben RJ, Karma P, editors. Elsevier 1999; p. 106.
 
50.
Ryding M, White P, Kalm O. Eustachian tube function and tympanic membrane findings after chronic secretory otitis media. Int J Pediatr Otorhinolaryngol, 2004; 68(2): 197–204.
 
51.
Lameiras AR, Silva D, O’Neill A, Escada P. Qualidade de Vida das Crianças com Otite Média e Impacto da Colocação de Tubos de Ventilação Transtimpânicos numa População Portuguesa [Quality of life of children with otitis media and impact of insertion of transtympanic ventilation tubes in a Portuguese population]. Acta Med Port, 2018; 31(1): 30–7 [in Portuguese].
 
52.
Smit AL, Burgers YRW, Swanenburg de Veye HFN, Stegeman I, Breugem CC. Hearing-related quality of life, developmental outcomes and performance in children and young adults with unilateral conductive hearing loss due to aural atresia. Int J Pediatr Otorhinolaryngol, 2021; 142: 110590.
 
53.
Chow Y, Wabnitz DA, Ling J. Quality of life outcomes after ventilating tube insertion for otitis media in an Australian population. Int J Pediatr Otorhinolaryngol, 2007; 71(10): 1543–7.
 
54.
Zhumabayev R, Zhumabayeva G, Kapanova G, Tulepbekova N, Akhmetzhan A, Grjibovski A. Quality of life in children with cochlear implants in Kazakhstan. BMC Pediatr, 2022; 22(1): 194.
 
55.
Skarzynski H, Piotrowska A. Screening for pre-school and school-age hearing problems: European Consensus Statement. Int J Pediatr Otorhinolaryngol, 2012 Jan; 76(1): 120–1.
 
56.
Dziendziel B, Skarzynski H, Gos E, Skarzynski PH. Changes in hearing threshold and tinnitus severity after stapes surgery: which is more important to the patient’s quality of life? ORL J Otorhinolaryngol Relat Spec, 2019; 81(4): 224–33.
 
Journals System - logo
Scroll to top